HEALTH INSURANCE MEMORIAL HERMANN SOUTHWEST HOSPITAL 2019 Community Health Needs Assessment Board Approved June 27, 2019 Table of Contents Executive Summary ............................................................................................ 4 Introduction & Purpose ............................................................................................................................... 4 Summary of Findings ................................................................................................................................... 4 Prioritized Areas .......................................................................................................................................... 5 Introduction ................................................................................................. 6 Memorial Hermann Southwest Hospital ..................................................................................................... 6 Vision ....................................................................................................................................................... 6 Mission Statement ................................................................................................................................... 6 Memorial Hermann Health System ......................................................................................................... 6 Memorial Hermann Southwest Service Area ........................................................................................... 7 Consultants .................................................................................................................................................. 8 Evaluation of Progress Since Prior CHNA ......................................................... 9 Priority Health Needs and Impact from Prior CHNA .................................................................................... 9 Methodology ................................................................................................. 11 Overview .................................................................................................................................................... 11 Secondary Data Sources & Analysis ........................................................................................................... 11 Secondary Data Scoring ......................................................................................................................... 11 Disparities Analysis ................................................................................................................................ 12 Primary Data Methods & Analysis ............................................................................................................. 12 Community Survey ................................................................................................................................. 12 Key Informant Interviews....................................................................................................................... 14 Data Considerations ................................................................................................................................... 16 Race/Ethnic Groupings .......................................................................................................................... 17 Zip Codes and Zip Code Tabulation Areas .............................................................................................. 17 Prioritization .............................................................................................................................................. 17 Prioritization Process ............................................................................................................................. 17 Demographics ............................................................................................. 20 Population .................................................................................................................................................. 20 Age ......................................................................................................................................................... 21 Race/Ethnicity ........................................................................................................................................ 23 Language ............................................................................................................................................... 24 Social and Economic Determinants of Health ............................................................................................ 26 Income ................................................................................................................................................... 26 Poverty ................................................................................................................................................... 27 Food Insecurity ...................................................................................................................................... 31 Unemployment ...................................................................................................................................... 32 Education ............................................................................................................................................... 33 Transportation ....................................................................................................................................... 35 SocioNeeds Index® ................................................................................................................................. 37 Data Synthesis ............................................................................................ 39 Prioritized Significant Health Needs .............................................................. 43 Prioritization Results .................................................................................................................................. 43 Access to Healthcare .................................................................................................................................. 43 2 Memorial Hermann Southwest Hospital CHNA 2019 Emotional Well-Being ................................................................................................................................ 49 Food as Health ........................................................................................................................................... 52 Exercise Is Medicine ................................................................................................................................... 55 Non-Prioritized Significant Health Needs ................................................................. 58 Older Adults and Aging .............................................................................................................................. 58 Cancers ...................................................................................................................................................... 59 Education ................................................................................................................................................... 59 Transportation ........................................................................................................................................... 60 Children’s Health ....................................................................................................................................... 61 Economy .................................................................................................................................................... 62 Other Findings ............................................................................................ 63 Barriers to Care .......................................................................................................................................... 63 Disparities .................................................................................................................................................. 63 Conclusion .................................................................................................. 65 Appendix .................................................................................................... 66 Appendix A: Evaluation Since Prior CHNA ................................................................................................. 67 Appendix B. Secondary Data Methodology ............................................................................................... 86 Appendix C. Primary Data Methodology ................................................................................................. 118 Appendix D. Prioritization Tool ................................................................................................................ 133 Appendix E. Community Resources ......................................................................................................... 136 3 Memorial Hermann Southwest Hospital CHNA 2019 Executive Summary Introduction & Purpose Memorial Hermann Southwest Hospital (MH Southwest) is pleased to present its 2019 Community Health Needs Assessment (CHNA). This CHNA report provides an overview of the process and methods used to identify